“…6 A ball and socket ankle deformity can be either congenital or acquired. The congenital type is commonly combined with various musculoskeletal anomalies, including tarsal coalitions, 4,9,12,13,20 toe syndactylization, 3,12,14 genu valgum deformity, 4,12 leg length discrepancy, 3,9,12,13 ray absence of the foot, 3,9,13 flatfoot, 14,21 hypoplasia of the sustentaculum tali, 16 and fibular hypoplasia presenting with a relatively short and broad lateral malleolus. 4,21 The acquired type is usually associated with more ligamentous laxity.…”